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6.B. - Page 2 of 14 the manufacturer told RCFD that they would no longer provide maintenance and repair. Due to the Department's relationship with Stryker the Department was able to defer this date, but they are no longer able to offer maintenance for these outdated devices. Replacing these devices is necessary and critical to patient health and survival. The Department's current Lucas Devices are not compliant with the ratio of compressions that are required by the AHA, and the protocols of the San Mateo County Medical Director. A majority of the fire departments in the County are using the Lucas 3 device which is battery actuated and delivers AHA compliant compressions. Cardio Pulmonary Resuscitation (CPR) incidents require the personnel staffing of two apparatus. Having similar operating equipment is essential to delivering high quality and efficient patient care. San Mateo County is borderless, meaning that any agency can respond into Redwood City, and RCFD can respond into other neighboring jurisdictions. RCFD also runs medical calls with American Medical Response (AMR), the ambulance company providing 911 transport services in San Mateo County. Because of this, it is a best practice that all the Department's equipment is consistent for purposes of emergency incidents and training. The Lucas 3 device has rechargeable batteries. There is always a possibility that RCFD could have back to back patients that arrest depleting the battery power and requiring the use of another agency's battery. By using a different vendor the mechanical device for CPR could be different causing confusion and related time delays amongst other County Agencies. Stryker is a trusted vendor used by other San Mateo County agencies. Redwood City has an established relationship with Stryker as the Department also purchased AED and Life Pack 15 machines from them. All of these devices have service agreements that are part of a package deal for optimal pricing. Stryker offers a trade-in program where RCFD will realize a savings. If the Department use another vendor the Department will lose the trade-in savings. The Department did not publicly bid this purchase as the Department is bound to use a specific Lucas Device by San Mateo County standards set forth by the Local Emergency Medical Services Authority (LEMSA). The Department is treating this purchase as a sole source because Stryker Corporation is the only company that sells the Lucas Devices required by LEMSA. FISCAL IMPACT The Department does not have identified funding for this request. If the Department ends the year with operating savings, no budget adjustment will be required. If there are not operating savings within the Department, a year end budget amendment will be presented before the end of the fiscal year. ENVIRONMENTAL REVIEW This activity is not a project under California Environmental Quality Act (CEQA) as defined in CEQA Guidelines, section 15378, because it has no potential for resulting in either a direct or reasonably foreseeable indirect physical change in the environment. Page 2 of 3 City of Redwood City 1017 Middlefield Road, Redwood City, CA. 94063 Tel: 650-780-7000 www.redwoodcity.ore 16